Organization Active NPI

Roger L. Friedman

Doing business as Advance Foot-Care and Laser Center

  • Foot & Ankle Surgery Podiatrist
  • Sheffield Village, OH
National Provider Identifier
1538613153
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36002311 Issued in OH
Legal business name
ROGER L. FRIEDMAN
Doing business as
Advance Foot-Care and Laser Center
Practice address
5321 Meadow Lane CT
Suite 22
Sheffield Village, OH 44035-0600
Phone
(440) 934-8444
Fax
(440) 934-8447
NPI assigned
Aug 11, 2016
Last updated
Aug 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roger Lee Friedman, DPMNPI 1205899887
Title
Owner
Phone
(440) 934-8444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36002311 OH Primary

Addresses

Primary practice location

5321 Meadow Lane CT
Suite 22
Sheffield Village, OH 44035-0600

Mailing address

5321 Meadow Lane CT
Suite 22
Sheffield Village, OH 44035-0600
Phone (440) 934-8444

Other identifiers 1

IdentifierTypeStateIssuer
0631838MedicaidOH

Other names 1

  • Advance Foot-Care and Laser Center Doing business as

National Provider Directory

National Provider Directory

Locations

5321 Meadow Lane Ct
Ste 22
Sheffield Village, OH 44035
Phone (440) 934-8444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1538613153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 MEADOW LANE CT",
            "address_2": "SUITE 22",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440350600",
            "telephone_number": "440-934-8444",
            "fax_number": "440-934-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 MEADOW LANE CT",
            "address_2": "SUITE 22",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "440350600",
            "telephone_number": "440-934-8444",
            "fax_number": "440-934-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L. FRIEDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-934-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36002311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0631838",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Foot-Care and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheffield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.